JILL M JOHNSON (APRN) – Nurse Practitioner, NPI 1700177292
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for JILL M JOHNSON (APRN)
1019 CUMBERLAND FALLS HWY
SUITE B201
CORBIN, KY 407012735
Phone: (606) 526-9005
Fax: (606) 526-8606
Type: Mailing
39 CUMBERLAND GAP PLZ
GRAY, KY 407344536
Phone: (606) 526-9005
Fax: (606) 526-8606
Type: Location
PO BOX 1150
BARBOURVILLE, KY 409065150
Phone: (606) 546-9287
Fax: (606) 546-2860
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $184.
Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.
Last reported payment date: 2024-05-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($121).
Total Amount
$184
General + Research + Ownership
Payments
2
Total payment records
General Amount
$184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $121 |
| PFIZER INC. | $63 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110617000113 | I | Nurse Practitioner | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 204 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 94 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 75 | 37 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 70 | 18 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 52 | 47 | $0 |
Insurance plans in this area (ZIP 40701)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| O P T O M E T R Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Emergency Medicine | KY | |
| Physician Assistant | KY |
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